33230 insertion pulse gen with dual leads
Also known as: dual-chamber pacemaker insertion, dual-lead generator placement, DDD generator
Insertion of pulse generator for dual-chamber pacemaker system with complete device including dual transvenous leads. Comprehensive dual-chamber implantation.
In Plain Language
implanting dual-wire pacemaker device
Clinical Context
Used for bradycardia with atrioventricular block or sinus node dysfunction. Provides physiologic dual-chamber pacing.
RVU Breakdown
| Work RVU | 5.92 |
| Total RVU | 5.92 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.92, this code ranks in the 40th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33230?
CPT 33230 (insertion pulse gen with dual leads) is a Surgery code. Insertion of pulse generator for dual-chamber pacemaker system with complete device including dual transvenous leads. Comprehensive dual-chamber implantation.
What is the wRVU value for CPT 33230?
The work RVU for CPT 33230 is 5.92. This code is primarily used by Cardiology, Arrhythmia Specialists. It has a 90-day global period.
When is CPT 33230 used?
Used for bradycardia with atrioventricular block or sinus node dysfunction. Provides physiologic dual-chamber pacing.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.